Tina Marie Pottorff, CPNP, CDE in Indianapolis, IN

Tina Marie Pottorff, CPNP, CDE is a medicare enrolled "Nurse Practitioner - Pediatrics" in Indianapolis, Indiana. Her current practice location is 705 Riley Hospital Dr, Ri 5960, Indianapolis, Indiana. You can reach out to her office (for appointments etc.) via phone at (317) 944-3889.

Tina Marie Pottorff is licensed to practice in Indiana (license number 71002350A) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1437357043.

Contact Information

	Tina Marie Pottorff, CPNP, CDE
	705 Riley Hospital Dr, Ri 5960, Indianapolis, IN 46202-5109
	(317) 944-3889
	(317) 944-3882

Map and Direction

Provider's Profile

Full Name	Tina Marie Pottorff
Gender	Female
Speciality	Nurse Practitioner - Pediatrics
Location	705 Riley Hospital Dr, Indianapolis, Indiana
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1437357043
Provider Enumeration Date: 07/05/2007
Last Update Date: 01/27/2021

Medicare PECOS Information:

PECOS PAC ID: 7618279878
Enrollment ID: I20160105000748

Medical Identifiers

Medical identifiers for Tina Marie Pottorff such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1437357043	NPI	-	NPPES
201108710	Medicaid	IN

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0200X	Nurse Practitioner - Pediatrics	28109103A (Indiana)	Secondary
363LP0200X	Nurse Practitioner - Pediatrics	71002350A (Indiana)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Tina Marie Pottorff allows following entities to bill medicare on her behalf.

Entity Name	University Pediatric Associates, Inc.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1457396541 PECOS PAC ID: 2163326794 Enrollment ID: O20031125000021

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tina Marie Pottorff is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Tina Marie Pottorff, CPNP, CDE Po Box 1026, Indianapolis, IN 46206-1026 Ph: (317) 777-6435	Tina Marie Pottorff, CPNP, CDE 705 Riley Hospital Dr, Ri 5960, Indianapolis, IN 46202-5109 Ph: (317) 944-3889

Reviews and Comments

Nurse Practitioner Nurses in Indianapolis, IN

Ms. Monica Silvia Oclander, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: Action Health Center, 2868 N. Pennsylvania Street, Indianapolis, IN 46205 Phone: 317-221-3532 Fax: 317-221-3516
Tia Imhoff Mcgee, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 705 Riley Hospital Dr, Indianapolis, IN 46202 Phone: 317-312-2204
Kathleen L Lampert, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1550 E County Line Rd, Ste 300, Indianapolis, IN 46227 Phone: 317-497-2300
Ms. Yvette Monique Caviness-kelley, FNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 1545 N Meridian St, Indianapolis, IN 46202 Phone: 317-923-1491
Mrs. Renee Marie Burkhart, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 7825 Mcfarland Ln, Suite A, Indianapolis, IN 46237 Phone: 317-887-5500 Fax: 317-887-4806
Emily Kelly Koffel, AGACNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 8330 Naab Rd Ste 340, Indianapolis, IN 46260 Phone: 317-338-5100
Mrs. Kelly Lentz, APRN Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2732 W Michigan St, Indianapolis, IN 46222 Phone: 317-554-4600 Fax: 317-554-4617

Tina Marie Pottorff, CPNP, CDE - Medicare Nurse Practitioner in Indianapolis, IN